| M Lorraine Purino Md Inc | |
|
289 W Huntington Dr Ste 309 Arcadia CA 91007-3495 | |
| (626) 445-8481 | |
| Not Available |
| Full Name | M Lorraine Purino Md Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 289 W Huntington Dr Ste 309, Arcadia, California |
| Authorized Official Name and Position | M Lorraine Purino (OWNER) |
| Authorized Official Contact | 6264458481 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| M Lorraine Purino Md Inc 289 W Huntington Dr Ste 309 Arcadia CA 91007-3495 Ph: () - | M Lorraine Purino Md Inc 289 W Huntington Dr Ste 309 Arcadia CA 91007-3495 Ph: (626) 445-8481 |
| NPI Number | 1336664796 |
|---|---|
| Provider Enumeration Date | 08/07/2017 |
| Last Update Date | 06/12/2020 |
| Certification Date | 06/12/2020 |
| Medicare PECOS PAC ID | 8628332392 |
|---|---|
| Medicare Enrollment ID | O20180503002576 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336664796 | NPI | - | NPPES |
| Provider Name | M Lorraine Purino |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023165750 PECOS PAC ID: 7315990520 Enrollment ID: I20050228001060 |
| Provider Name | Vincent M Fortanasce |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104833052 PECOS PAC ID: 2163428137 Enrollment ID: I20061013000605 |
| Provider Name | Rodrigo Rodriguez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669531232 PECOS PAC ID: 2860553922 Enrollment ID: I20081208000255 |
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